TAB A: LMS Evaluation Study – Marine Corps Safety Needs Assessment Survey Instrument
#39085060.0
IRB
Approved at the Study Level Dec
18, 2023
Expiration Date: XX/XX/XX
LMS Evaluation Study: Marine Corps Survey Overview
Intent: The intent of the Marine Corps Safety Needs Assessment Survey is to analyze the level of awareness of current LMS programs, references for safety devices and locations, and the place of safety within Marine Corps culture. This survey will assist the Marine and Family Programs Division (MF Division) in understanding (from the perspective of Marines) the reach of current LMS efforts and the acceptability of potential LMS activities. The results of the survey will be used to tailor future LMS activities that resonate with Marines, as well as serve as a baseline for evaluating the effectiveness of the activities.
Respondents: Active duty Marine Corps service members who voluntarily choose to take the survey
Estimated Number of Respondents: ~9,000
Procedures: Respondents will be provided informed consent prior to beginning the survey. Respondents may skip any questions they prefer not to answer. CNA will not collect email addresses or other personally identifiable information (PII) through the survey. No one outside of the approved study team will have access to the raw survey data. CNA will analyze the data and provide a written report to the MF Division and DSPO. The report will group respondents in groups of 10 or more to prevent indirect identification of individual responses.
Marine Corps Safety Needs Assessment Survey Instrument
This voluntary survey is designed to inform USMC Behavioral Programs about Marines’ awareness of current lethal means safety programs, preferences for safety devices and safe storage locations, and thoughts about the place of safety in Marine Corps culture. There are 22 questions and should take less than 15 minutes to answer. You may skip any question that you do not wish to answer. Please do not include any identifiable information (such as names) in text fields. All information collected in this survey will be summarized and reported by CNA. No names, contact information, or any other personally identifiable information will be associated with your survey responses or used in the analysis or reporting of survey results. We thank you in advance for providing information that will contribute to decisions about the design of future lethal means safety efforts.
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, 0704-XXXX, is estimated to average .25 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
[CONSENT:]
Please click on the following link to download a consent information sheet.
USMC LMS Needs Assessment Consent Information Sheet [Link for attached consent]
Do you acknowledge receipt of the consent information sheet and choose to participate in this research?
a). Yes
b). No (exit the survey)
[SCREENER QUESTION:]
Are you a member of the United States Marine Corps (please select one)?
a). Regular/Active Component Marine
b). Reserve Component Marine in an Active Duty status
c). Reserve Component Marine not in an Active Duty status (exit the survey)
d). No (exit the survey)
[if b (Reserve Component Marine in an Active Duty status)] Are you (please select one):
a). Selected Marine Corps Reserve (SMCR) in a drilling period
b). Individual Mobilization Augmentee (IMA)
c). Active Reserve (AR)
d). Individual Ready Reserve (IRR) on Active Duty status
e). None of the above (exit the survey)
Exit message:
Thank you for your interest in the “Marine Carps Safety Need Assessment Survey.” Unfortunately, you are not eligible for this survey. This survey is limited to Marines in an Active Duty status.
If you feel that you have reached this page in error or have any questions about this survey, please contact Ria Reynolds, Principal Investigator at CNA at [email protected].
[SURVEY QUESTIONS:]
Awareness of Current Lethal Means Safety Programs
For the following safety initiatives, please indicate if you have heard of or received training in the concept (check all that apply):
Concept |
I have not heard of this concept/program |
I have heard of this concept/program |
I have been trained or received information on this concept/program |
I have used this concept/ program |
Counseling on Access to Lethal Means (CALM) |
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Gun lock distribution |
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Safe prescription and over the counter medication storage |
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Controlled substance (medication) disposal |
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For the following firearm locking devices and storage solutions, please indicate if you have heard of the device/solution, received training on the device/solution, or would like to receive additional training on the device/solution (click on the device name to see an example of the device). Check all that apply:
Locking devices with key, PIN, or dial |
I have not heard of this device |
I have heard of this device |
I have been trained on this device |
I would like to receive more training on this device |
I have used this device |
Cable lock [ |
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Trigger lock [ |
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Clamshell/Life Jacket [ |
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Small lockbox/hard case [ |
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Vehicle lock box [ |
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Biometric locking devices (e.g. fingerprint) |
I have not heard of this device |
I have heard of this device |
I have been trained on this device |
I would like to receive more training on this device |
I have used this device |
Cable lock [ |
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Trigger lock [ |
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Clamshell/Life Jacket [ |
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Small lockbox/hard case [ |
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Vehicle lock box [ |
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Alternate storage locations |
I have not heard of using this option |
I have heard of using this option |
I have been trained in using this option |
I would like to receive more training on this option |
I have used this option |
Unit Armory |
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Store with a trusted friend or family member |
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Store with another Marine |
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Secure community storage |
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While stationed at your current command, have you ever received or voluntarily taken gun locks that were offered or being distributed?
Yes
No
[IF #3 = YES] Where did you receive this device? Check all that apply:
Suicide Prevention Program Officer (SPPO)
MCCS Behavioral Health Services (e.g., Family Advocacy Program)
Command/Unit
Chaplain
Embedded personnel (e.g., EPBHCs)
Other, specify (please do not include any identifiable information in text fields):
[IF #3 = YES] Have you used this device since receiving it?
Yes
No
[IF #3 = Yes] Has this device made it easier for you to implement lethal means safety practices?
Yes
No
Preferences for Safety Devices and Locations
Of these safe storage options for firearms, which would be your preference?
[Code this as four different drop-down boxes for preferences 1-4, options will be the same for each drop-down]:
Most preferred?
Second most preferred?
Third most preferred?
Fourth most preferred?
Locking devices with key, PIN, or dial |
Cable lock [ |
Trigger lock [ |
Clamshell/Life Jacket [ |
Small lockbox/hard case [ |
Vehicle lock box [ |
Biometric locking devices (e.g. fingerprint) |
Cable lock [ |
Trigger lock [ |
Clamshell/Life Jacket [ |
Small lockbox/hard case [ |
Vehicle lock box [ |
Alternate storage locations |
Armory |
Store with a trusted friend or family member |
Store with another Marine (peer) |
Secure community storage |
Other (specify, please do not include any identifiable information in text fields): ________________ |
Indicate how much you agree or disagree with the following statement: “Most Marines use safe storage practices for firearms.” [multiple choice]
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What are the barriers to Marines using safe storage practices for firearms? (check all that apply)
Concern that safe storage will interfere with ability to protect one’s home
Concern about care for weapons (e.g. concerned about gun lock damaging weapons)
Weight of safes
Access to alternate storage locations during off-hours
Other, specify (please do not include any identifiable information in text fields):
Indicate how much you agree or disagree with the following statement: “Most Marines use safe storage practices for medications.” [multiple choice]
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Which safety measures should a Marine take if they or someone in their household is experiencing a mental health crisis? (check all that apply)
Secure all firearms in the home
Lock up all knives and scissors in the home
Lock up all household cleaners, pesticides, and industrial chemicals
Limit or lock all ropes, belts, shoelaces, electrical wire, and long cords within the home
Secure and lock high level windows and access to rooftops
Remove all alcohol from the home
Lock up any alcohol from the home
Store medication in a locked cabinet or box
Dispose of unused or expired medications
Controlling access to car keys
Other, specify (please do not include any identifiable information in text fields):
How likely are the following initiatives to be effective in encouraging Marines to store lethal means more safely [multiple choice for each safety initiative]
Safety initiative |
Very unlikely |
Unlikely |
Likely |
Very likely |
Training on safe prescription and over the counter medication storage and disposal |
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Training on safe storage of chemicals, such as household cleaners, pesticides, and industrial chemicals |
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Focused training on the benefits of gun safety |
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Gun locks provided free at the point of sale |
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Peer advocates for gun safety at the unit |
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Command advocacy for gun safety |
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Lockable weapon storage containers provided free at the point of sale |
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Training in how to store a weapon safely for home defense |
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Mandatory firearm registration |
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Gun safe at barracks |
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Other, specify (please do not include any identifiable information in text fields): |
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What methods of training would be most effective to communicate the following safety initiatives to Marines (check all that apply)?
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In-person instructor-led briefing with slides |
In-person group discussion |
Virtual classroom |
Self-paced online training |
Other, please specify (please do not include any identifiable information in text fields) |
Safe medication storage |
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Safe disposal of medications |
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Benefits of firearm safety |
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Storing a weapon for home defense |
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Non-lethal weapons for personal defense |
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Supporting a friend in distress by providing resources or removing lethal means |
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What types of messaging would be most effective to communicate the following safety initiatives to Marines (check all that apply)?
Initiative |
Flyers or brochures (paper) |
Article or newsletters, MOL messages, emails, MARADMIN (electronic) |
Social media posts |
Podcasts |
Blog posts |
Other, please specify (please do not include any identifiable information in text fields) |
Safe medication storage |
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Safe disposal of medications |
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Benefits of firearm safety |
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Storing a weapon for home defense |
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Non-lethal weapons for personal defense |
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Supporting a friend in distress by providing resources or removing lethal means |
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How impactful would you find messages on firearm safety from each of the following groups? (multiple choice for each messenger type)
Messenger |
Not impactful at all |
Minimally impactful |
Somewhat impactful |
Very impactful |
USMC leadership (e.g., CMC, SMMC) |
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Unit leadership |
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Medical professionals |
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Chaplains or other religious leaders |
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Fellow Marines |
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Military veterans |
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Public safety officials |
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Firearm education groups (e.g. NRA) |
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Other, specify (please do not include any identifiable information in text fields): |
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How impactful would you find messages on medication safety from each of the following groups? [multiple choice for each messenger type]
Messenger |
Not impactful at all |
Minimally impactful |
Somewhat impactful |
Very impactful |
USMC leadership (e.g., CMC, SMMC) |
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Unit leadership |
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Medical professionals |
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Chaplains or other religious leaders |
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Fellow Marines |
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Military veterans |
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Public safety officials |
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Other, specify (please do not include any identifiable information in text fields): |
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What social media platform(s) for distributing lethal means safety messages to Marines would be most effective (check all that apply):
YouTube
Snapchat
Twitter/X
Other, specify (please do not include any identifiable information in text fields):
Which of the following non-lethal safety devices would you most want to use to protect your home (check all that apply)?
Pepper spray guns
Pepper spray ball guns
Self-defense alarms and whistles
Personal items and household goods (e.g. baseball bat, belt, etc.)
Self-defense knives
Batons or personal security umbrella
Tactical flashlights
Pocket self-defense weapons (e.g. shock pen, stun knuckle)
Stun guns
Tasers
Other, specify (please do not include any identifiable information in text fields):
Place of Safety in Marine Corps Culture
How frequently does your command provide information on safe firearm storage? [multiple choice]
Multiple times each week
Weekly
More than weekly, but less than monthly
Monthly
Less than monthly
Never
I don’t know
How frequently does your command provide information on safe medication storage and disposal? [multiple choice]
Multiple times each week
Weekly
More than weekly, but less than monthly
Monthly
Less than monthly
Never
I don’t know
How frequently does your command provide information on how to support a fellow Marine in distress? [multiple choice]
Multiple times each week
Weekly
More than weekly, but less than monthly
Monthly
Less than monthly
Never
I don’t know
My command encourages lethal means safety. [multiple choice]
Agree
Disagree
Unsure
Decline to answer
Demographics Questions
All information collected in the following questions will be summarized and reported by CNA. No names, contact information, or any other personally identifiable information will be associated with your survey responses or used in the analysis or reporting of survey results. We are asking for demographics to understand better how Marines might differ in their responses to the questions above.
What are your current living arrangements? [multiple choice]
Barracks
On-base family housing
Off-base housing
Other, specify (please do not include any identifiable information in text fields):
What is your gender? [multiple choice]
Male
Female
What is your paygrade? [multiple choice]
E1-E3
E4-E5
E6-E9
W1-W5
O1-O3
O4-O6
Where are you currently serving? [multiple choice]
CONUS-East coast
CONUS-West coast
OCONUS
[filter based on #26] What is your current installation? [drop down box with list of installations]
CONUS-East |
CONUS-West |
OCONUS |
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What is your race and/or ethnicity?
Select all that apply and enter additional details in the spaces below.
American Indian or Alaska Native – Enter, for example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc.
Asian – Provide details below.
Chinese
Vietnamese
Asian Indian
Korean
Filipino
Japanese
Enter, for example, Pakistani, Hmong, Afghan, etc.
Black or African American – Provide details below.
African American
Nigerian
Jamaican
Ethiopian
Haitian
Somali
Enter, for example, Trinidadian and Tobagonian, Ghanaian, Congolese, etc.
Hispanic or Latino – Provide details below.
Mexican
Cuban
Puerto Rican
Dominican
Salvadoran
Guatemalan
Enter, for example, Colombian, Honduran, Spaniard, etc.
Middle Eastern or North African – Provide details below.
Lebanese
Syrian
Iranian
Iraqi
Egyptian
Israeli
Enter, for example, Moroccan, Yemeni, Kurdish, etc.
Native Hawaiian or Pacific Islander – Provide details below.
Native
Hawaiian
Tongan
Samoan
Fijian
Chamorro
Marshallese
Enter, for example, Chuukese, Palauan, Tahitian, etc.
White
– Provide
details below.
English
Italian
German
Polish
Irish
Scottish
Enter, for example, French, Swedish, Norwegian, etc.
What is your MOS category? [multiple choice]
Infantry
Ground Combat Element Forces (i.e. any non-infantry direct ground combat roles such as Field Artillery, AAVs, Reconnaissance)
Ground Combat Support Services (ex. Logistics, Supply, Medical, Transport, Engineer Support)
Aviation Combat Element and Aviation Combat Support Services (ex. Air Traffic Control, Avionics, Aviation Logistics)
Command Element (ex. Military Police, Military Intelligence, Signal)
Administrative Support (ex. Personnel/Admin, Finance, Legal)
Non-Combat Miscellaneous (ex. MWR, Music, Other)
[End of survey]
We
thank you for your time spent taking this survey.
Your response has been recorded.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Carey, Neil |
| File Modified | 0000-00-00 |
| File Created | 2024-12-31 |